{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:12:17Z","timestamp":1792001537650,"version":"4.4.0"},"reference-count":37,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100022835","name":"Spanish Diabetes Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100022835","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","diabetesresearchclinicalpractice.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Research and Clinical Practice"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.diabres.2025.112372","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T12:08:46Z","timestamp":1752581326000},"page":"112372","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"special_numbering":"C","title":["Intermittently scanned continuous glucose monitoring adoption decreases diabetic ketoacidosis hospitalizations and healthcare costs in adults with type 1 diabetes"],"prefix":"10.1016","volume":"226","author":[{"given":"Pablo","family":"Rodr\u00edguez de Vera G\u00f3mez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2393-6280","authenticated-orcid":false,"given":"Beatriz","family":"Rodr\u00edguez Jim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Mayoral S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"J\u00f3dar S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9726-3813","authenticated-orcid":false,"given":"Reyes","family":"Rav\u00e9 Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermo","family":"Umpierrez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9740-122X","authenticated-orcid":false,"given":"Mar\u00eda Asunci\u00f3n","family":"Mart\u00ednez-Brocca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.diabres.2025.112372_b0005","doi-asserted-by":"crossref","DOI":"10.1016\/j.diabres.2020.108158","article-title":"Meta-analysis of average change in laboratory-measured HbA1c among people with type 1 diabetes mellitus using the 14 day flash glucose monitoring system","volume":"164","author":"Gordon","year":"2020","journal-title":"Diab Res Clin Pract"},{"issue":"2","key":"10.1016\/j.diabres.2025.112372_b0010","doi-asserted-by":"crossref","first-page":"2201","DOI":"10.1007\/s40200-024-01488-2","article-title":"A new glucose monitoring system for the intermittent monitoring of interstitial glucose values in patients with diabetes mellitus","volume":"23","author":"Rossi","year":"2024","journal-title":"J Diab Metab Disord."},{"issue":"16","key":"10.1016\/j.diabres.2025.112372_b0015","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.1056\/NEJMoa2205650","article-title":"Intermittently scanned continuous glucose monitoring for type 1 diabetes","volume":"387","author":"Leelarathna","year":"2022","journal-title":"N Engl J Med"},{"issue":"6","key":"10.1016\/j.diabres.2025.112372_b0020","doi-asserted-by":"crossref","DOI":"10.1111\/dme.15307","article-title":"Satisfaction with continuous glucose monitoring is associated with quality of life in young people with type 1 diabetes regardless of metabolic control and treatment type","volume":"41","author":"Franceschi","year":"2024","journal-title":"Diabet Med"},{"issue":"6","key":"10.1016\/j.diabres.2025.112372_b0025","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.2337\/dc20-1690","article-title":"Important drop in rate of acute diabetes complications in people with type 1 or type 2 diabetes after initiation of flash glucose monitoring in France: the RELIEF Study","volume":"44","author":"Roussel","year":"2021","journal-title":"Diab Care"},{"issue":"12","key":"10.1016\/j.diabres.2025.112372_b0030","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1089\/dia.2024.0201","article-title":"Population-based study on the implementation of flash glucose monitoring and severe hypoglycemia in adults with type 1 diabetes","volume":"26","author":"de Vera","year":"2024","journal-title":"Diab Technol Ther"},{"issue":"12","key":"10.1016\/j.diabres.2025.112372_b0035","doi-asserted-by":"crossref","first-page":"2164","DOI":"10.2337\/dc24-0690","article-title":"Initiation of intermittently scanned continuous glucose monitoring is associated with reduced hospitalization for acute diabetes events and cardiovascular complications in adults with type 1 diabetes","volume":"47","author":"Eeg-Olofsson","year":"2024","journal-title":"Diab Care"},{"issue":"6","key":"10.1016\/j.diabres.2025.112372_b0040","doi-asserted-by":"crossref","first-page":"941","DOI":"10.2337\/dc23-1765","article-title":"Severe hypoglycemia and impaired awareness of hypoglycemia persist in people with type 1 diabetes despite use of diabetes technology: results from a cross-sectional survey","volume":"47","author":"Sherr","year":"2024","journal-title":"Diab Care"},{"key":"10.1016\/j.diabres.2025.112372_b0045","doi-asserted-by":"crossref","unstructured":"L\u00f3pez Siguero JP, P\u00e9rez Gonz\u00e1lez O, G\u00f3mez Gila AL, Leiva Gea I. Situaci\u00f3n de la diabetes mellitus tipo 1 en Andaluc\u00eda. Datos asistenciales, uso de terapias avanzadas y recursos humanos [The situation as regards diabetes mellitus type 1 in Andalusia. Care data, use of advanced therapies and human resources]. An Pediatr (Engl Ed). 2018 Aug;89(2):111-116. Spanish. doi: 10.1016\/j.anpedi.2017.09.005.","DOI":"10.1016\/j.anpedi.2017.09.005"},{"key":"10.1016\/j.diabres.2025.112372_b0050","unstructured":"Ministry of Health and Consumer Affairs, Regional Government of Andalusia. Comprehensive Diabetes Plan in Andalusia (CHPD) [Internet]. Seville: Regional Government of Andalusia; [cited 2024 Dec 21]. Available from: https:\/\/www.juntadeandalucia.es\/organismos\/saludyconsumo\/areas\/planificacion\/planes-integrales\/paginas\/pidma.html#toc--m-s-informaci-n."},{"issue":"9","key":"10.1016\/j.diabres.2025.112372_b0055","first-page":"657","article-title":"Effectiveness of a flash glucose monitoring systems implementation program through a group and telematic educational intervention in adults with type 1 diabetes","volume":"69","author":"Rodr\u00edguez de Vera-G\u00f3mez","year":"2022","journal-title":"Endocrinol Diabetes Nutr (Engl Ed)"},{"issue":"1","key":"10.1016\/j.diabres.2025.112372_b0060","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1038\/s41572-020-0165-1","article-title":"Diabetic ketoacidosis","volume":"6","author":"Dhatariya","year":"2020","journal-title":"Nat Rev Dis Primers"},{"issue":"8","key":"10.1016\/j.diabres.2025.112372_b0065","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.2337\/dci24-0032","article-title":"Hyperglycemic crises in adults with diabetes: a consensus report","volume":"47","author":"Umpierrez","year":"2024","journal-title":"Diabetes Care"},{"key":"10.1016\/j.diabres.2025.112372_b0070","doi-asserted-by":"crossref","unstructured":"McCoy RG, Herrin J, Galindo RJ, Swarna KS, Umpierrez GE, Golden SH. Rates of Hypoglycemic and Hyperglycemic Emergencies Among U.S. Adults With Diabetes, 2011-2020. Diabetes Care. 2023 Feb 1;46(2):e69-e71. doi: 10.2337\/dc22-1673.","DOI":"10.2337\/dc22-1673"},{"issue":"9","key":"10.1016\/j.diabres.2025.112372_b0075","doi-asserted-by":"crossref","first-page":"1870","DOI":"10.2337\/dc17-1583","article-title":"Trends in hospital admission for diabetic ketoacidosis in adults with type 1 and type 2 diabetes in England, 1998-2013: a Retrospective Cohort Study","volume":"41","author":"Zhong","year":"2018","journal-title":"Diabetes Care"},{"issue":"9","key":"10.1016\/j.diabres.2025.112372_b0080","doi-asserted-by":"crossref","first-page":"2592","DOI":"10.1210\/clinem\/dgab372","article-title":"Rate and predictors of 30-day readmission following diabetic ketoacidosis in type 1 diabetes mellitus: a US Analysis","volume":"106","author":"Shaka","year":"2021","journal-title":"J. Clin. Endocrinol. Metab."},{"issue":"3","key":"10.1016\/j.diabres.2025.112372_b0085","doi-asserted-by":"crossref","first-page":"242","DOI":"10.4158\/EP-2018-0457","article-title":"Causes and predictors for 30-day re-admissions in adult patients with diabetic ketoacidosis in the UNITED STATES: a nationwide analysis, 2010-2014","volume":"25","author":"Hurtado","year":"2019","journal-title":"Endocr Pract"},{"issue":"11","key":"10.1016\/j.diabres.2025.112372_b0090","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/S2213-8587(22)00246-7","article-title":"Impact of the COVID-19 pandemic on long-term trends in the prevalence of diabetic ketoacidosis at diagnosis of paediatric type 1 diabetes: an international multicentre study based on data from 13 national diabetes registries","volume":"10","author":"Birkebaek","year":"2022","journal-title":"Lancet Diabetes Endocrinol."},{"issue":"2","key":"10.1016\/j.diabres.2025.112372_b0095","doi-asserted-by":"crossref","first-page":"389","DOI":"10.2337\/dc19-1610","article-title":"Quality of life and glucose control after 1 year of nationwide reimbursement of intermittently scanned continuous glucose monitoring in adults living with type 1 diabetes (FUTURE): a prospective Observational Real-World Cohort Study","volume":"43","author":"Charleer","year":"2020","journal-title":"Diabetes Care"},{"issue":"8","key":"10.1016\/j.diabres.2025.112372_b0100","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.1007\/s00125-020-05152-1","article-title":"Temporal trends in diabetic ketoacidosis at diagnosis of paediatric type 1 diabetes between 2006 and 2016: results from 13 countries in three continents","volume":"63","author":"Cherubini","year":"2020","journal-title":"Diabetologia"},{"issue":"12","key":"10.1016\/j.diabres.2025.112372_b0105","doi-asserted-by":"crossref","first-page":"2109","DOI":"10.1111\/dme.14314","article-title":"Characteristics of adult- compared to childhood-onset type 1 diabetes","volume":"37","author":"Casu","year":"2020","journal-title":"Diabet Med"},{"issue":"3","key":"10.1016\/j.diabres.2025.112372_b0110","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.0347","article-title":"Assessment of a day hospital management program for children with type 1 diabetes","volume":"3","author":"Lawson","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"13","key":"10.1016\/j.diabres.2025.112372_b0115","doi-asserted-by":"crossref","first-page":"2293","DOI":"10.3390\/ijerph16132293","article-title":"In Favour of regional diabetes day hospitals","volume":"16","author":"Barroso","year":"2019","journal-title":"Int J Environ Res Public Health"},{"issue":"7","key":"10.1016\/j.diabres.2025.112372_b0120","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1111\/dme.13355","article-title":"Incidence, recurrence and cost of hyperglycaemic crises requiring emergency treatment in Andalusia","volume":"34","author":"Barranco","year":"2017","journal-title":"Spain Diabet Med"},{"key":"10.1016\/j.diabres.2025.112372_b0125","doi-asserted-by":"crossref","unstructured":"Javier F, Lesmes IB, Peralta FG, Francisco J, G\u00f3mez FP, Ballesteros AC, et al. Resumen ejecutivo del documento \u201cHospital de D\u00eda de Diabetes. Propuesta de valor.\u201d Endocrinolog\u00eda Diabetes y Nutrici\u00f3n. 2025 May 1;501601\u20131. Doi. 10.1016\/j.endinu.2025.501601.","DOI":"10.1016\/j.endinu.2025.501601"},{"issue":"12","key":"10.1016\/j.diabres.2025.112372_b0130","doi-asserted-by":"crossref","first-page":"2220","DOI":"10.2337\/dc19-0830","article-title":"Incidences of Severe Hypoglycemia and Diabetic Ketoacidosis and Prevalence of Microvascular Complications Stratified by Age and Glycemic Control in U.S. Adult patients with Type 1 Diabetes: a Real-World Study","volume":"42","author":"Pettus","year":"2019","journal-title":"Diabetes Care"},{"key":"10.1016\/j.diabres.2025.112372_b0135","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.d4092","article-title":"Factors associated with the presence of diabetic ketoacidosis at diagnosis of diabetes in children and young adults: a systematic review","volume":"343","author":"Usher-Smith","year":"2011","journal-title":"BMJ"},{"issue":"2","key":"10.1016\/j.diabres.2025.112372_b0140","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1089\/dia.2018.0384","article-title":"State of Type 1 Diabetes Management and Outcomes from the T1D Exchange in 2016\u20132018","volume":"21","author":"Foster","year":"2019","journal-title":"Diab Technol Ther"},{"key":"10.1016\/j.diabres.2025.112372_b0145","doi-asserted-by":"crossref","DOI":"10.1016\/j.diabres.2022.110041","article-title":"Clinical characteristics and outcomes of care in patients hospitalized with diabetic ketoacidosis","volume":"192","author":"Eledrisi","year":"2022","journal-title":"Diab Res Clin Pract"},{"issue":"3","key":"10.1016\/j.diabres.2025.112372_b0150","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.2337\/dc18-1160","article-title":"Event rates and Risk Factors for the Development of Diabetic Ketoacidosis in Adult patients with Type 1 Diabetes: Analysis from the DPV Registry based on 46,966 patients","volume":"42","author":"Kalscheuer","year":"2019","journal-title":"Diabetes Care"},{"issue":"2","key":"10.1016\/j.diabres.2025.112372_b0155","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.diabet.2014.09.004","article-title":"Impact of socioeconomic status and gender on glycaemic control, cardiovascular risk factors and diabetes complications in type 1 and 2 diabetes: a population based analysis from a Scottish region","volume":"41","author":"Collier","year":"2015","journal-title":"Diabetes Metab."},{"issue":"10","key":"10.1016\/j.diabres.2025.112372_b0160","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1016\/j.jdiacomp.2018.08.009","article-title":"Gender differences in diabetes self-care in adults with type 1 diabetes: Findings from the T1D Exchange clinic registry","volume":"32","author":"Shah","year":"2018","journal-title":"J. Diabetes Complications"},{"issue":"3","key":"10.1016\/j.diabres.2025.112372_b0165","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1210\/jc.2017-02498","article-title":"Effect of continuous glucose monitoring on glycemic control, acute admissions, and quality of life: a real-world study","volume":"103","author":"Charleer","year":"2018","journal-title":"J. Clin. Endocrinol. Metab."},{"issue":"3","key":"10.1016\/j.diabres.2025.112372_b0170","doi-asserted-by":"crossref","DOI":"10.1111\/dme.15232","article-title":"Estimating the cost-effectiveness of intermittently scanned continuous glucose monitoring in adults with type 1 diabetes in England","volume":"41","author":"Elliott","year":"2024","journal-title":"Diabet. Med."},{"issue":"4","key":"10.1016\/j.diabres.2025.112372_b0175","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1177\/1932296818777265","article-title":"Health Care costs, Hospital admissions, and glycemic control using a standalone, real-time, continuous glucose monitoring system in commercially insured patients with type 1 diabetes","volume":"12","author":"Gill","year":"2018","journal-title":"J Diab Sci Technol"},{"issue":"5","key":"10.1016\/j.diabres.2025.112372_b0180","doi-asserted-by":"crossref","first-page":"627","DOI":"10.2337\/db22-0264","article-title":"Impacts of COVID-19 on Glycemia and risk of Diabetic Ketoacidosis","volume":"72","author":"Sharma","year":"2023","journal-title":"Diabetes"},{"issue":"5","key":"10.1016\/j.diabres.2025.112372_b0185","doi-asserted-by":"crossref","first-page":"560","DOI":"10.2337\/db22-0908","article-title":"Increased risk of diabetes and diabetic ketoacidosis associated with COVID-19","volume":"72","author":"Montefusco","year":"2023","journal-title":"Diabetes"}],"container-title":["Diabetes Research and Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0168822725003869?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0168822725003869?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T21:06:38Z","timestamp":1753909598000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0168822725003869"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":37,"alternative-id":["S0168822725003869"],"URL":"https:\/\/doi.org\/10.1016\/j.diabres.2025.112372","relation":{},"ISSN":["0168-8227"],"issn-type":[{"value":"0168-8227","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Intermittently scanned continuous glucose monitoring adoption decreases diabetic ketoacidosis hospitalizations and healthcare costs in adults with type 1 diabetes","name":"articletitle","label":"Article Title"},{"value":"Diabetes Research and Clinical Practice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.diabres.2025.112372","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"112372"}}